The January 1, 2012 deadline to be in compliance with the Version 005010 (5010) HIPAA electronic administrative transactions is fast approaching. All providers, payers and clearinghouses that submit HIPAA transactions must use only the 5010 transactions as of the deadline.
Providers need to complete these steps to be prepared for the deadline:
Not all of the 5010 changes are IT changes and some will impact your business functions.
You will need to upgrade your practice management system/electronic health record so it can capture the required 5010 data.
You need to test your upgraded system to make sure your 5010 transactions are working correctly.
Since there will be no delay in the compliance deadline, a major concern is the potential for disruptions in transaction processing after January 1, 2012. Providers should develop a “back-up plan” or safety net to address what they will do if their transactions are not working and they are not receiving payments.
Go to the Centers for Medicare & Medicaid Services’ website for additional information: www.cms.gov/Versions5010andD0
Keep up-to-date with BlueCross BlueShield of South Carolina's 5010 conversion at www.hipaacriticalcenter.com.